Prior Auth Required

19371 - Peri-implant capsulectomy, breast, Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePeri-implant capsulectomy, breast, Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - including capsulotomy, capsulorrhaphy, Physical including functional impairment and/or partial capsulectomy and Operative report. 19371 Peri-implant capsulectomy, breast, Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and complete, including removal of all Physical including functional impairment intracapsular contents and Operative report.

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.